Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Cecil Lewis death at Windsor, Hants County on October 7, 1918

Male Death Registration: Year: 1918 book: 35 page: 505 number: 427

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 0010505

1. PLACE OF DEATH   County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital

3. PRINT NAME OF DECEASED Lewis, Cecil

4. Sex

Male

5. Citizenship

6. Racial Origin

Church of England

7. Single, Married

Single

8. BIRTHPLACE Jamaica

9. DATE OF BIRTH   ,

10. AGE in  Years19  Months  Days | hrs or mins

11. Trade or profession Soldier, British Expeditionary Force, Fort Edward

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father  

17. BIRTHPLACE

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant S. Smith

      address Payzant Memorial Hospital, Windsor

      Relationship to deceased

21. Place of burial Maplewood, Windsor

      Date of burial

22. Undertaker Wm Curry and son

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 7, 1918

CAUSE OF DEATH

(a) Lobar Pneumonia

(b) Heart Failure

(c)

other

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